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European Respiratory Society Annual Congress 2012 Abstract Number: 7087 Publication Number: P4616 Abstract Group: 11.1. Lung Cancer Keyword 1: Pleura Keyword 2: Thoracic oncology Keyword 3: Intensive care Title: The bedside autofluorescence pleuroscopy for the undiagnosed lung cancer with pleural effusion in a intensive care unit Dr. Hean 1083 Ooi [email protected] MD 1, Dr. Shang-Miao 1090 Chang [email protected] MD 1 , Dr. Chien-Ming 1091 Liu [email protected] MD 1, Dr. Kuo-Liang 1092 Chiu [email protected] MD 1, Dr. Jeng-Yuan 1093 Wu [email protected] MD 2 and Nan-Yung 1095 Hsu [email protected] MD 2. 1 Chest Division, Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Taichung Branch, Tanzi District, Taichung City, Taiwan, 427 and 2 Thoracic Surgery, Department of Surgical Medicine, Buddhist Tzu Chi General Hospital, Taichung Branch, Tanzi District, Taichung City, Taiwan, 427 . Body: Introduction: Autofluorescence bronchoscopy was developed to enhance the detection of lung cancer in the airway. However, its role in evaluation of pleural space has not been published. Aim: To assess the undiagnosed lung cancer with pleural effusion in a intensive care unit(ICU). Methods: A flexible bronchoscope(SAFE 3000,Pentax,Tokyo) to entry to assess the pleural space. The evaluation of pleural space was started by Twin Mode and then completed by MIX. Then the specimens send for histological examination and the clinical data retrospectively stydied. The whole procedures were done in the ICU bedsides. Results: 22 patients were recruited. There were 6 patients with cytology negative and normal finding in WLP or AFP but 2 of them were found to have lung cancer. Among the 16 patients with atypia or suspicious cells had abnormal finding in the WLP or AFP, 15 patients finally had lung cancer. Conclusion: The AFP is useful for detecting the undiagnosed lung cancer with pleural effusion. This is a daily practice performed not only in endoscopic room but in the ICU bedsides.
